HomeMy WebLinkAbout95-4835
CITY OF ZEPHYRHILLS
(813) 788.6611
~)':~ 30.~ )..1'). V9-
BUILDING ELECTRICAL PLUMBING
PmpertyOwnec ~/(17'7 rthi /
Job Address: -S""'~~ c; /' ~ ~ ~
Parcell.D. #
BUILDING PERMIT
Permit N' 4835
- -..---
//_/[)-P5
Date F-".
~#oe
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Energy Code:
Radon Gas:
De,ec;p';on of Wo,k {;;:.~. .
,r;, ~ It>,.. ~Qi2.( r -S" #
~
NO OCCUPANCY BEFORE C.O.
FINAL .5--:'"3 ~ 9 S
DATE
Complete Plans. Specifications and Fee Must Accompany Application. e.o.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
Permit Fee
Signature >--:;7'::::
Company
Address
Telephone#
Valuation or
Contract Price
'15 7...1. t:9ij
(
7f1.:~ 4'8~
BUILDING
1t~ ;r:;;.p'-7 (
ELECTRICAL
Lbf(~
PLUM ING
-Eft" 19
~CHANICAL
V
Breakers
Ducts Insl. :)-1-95--- 5,e
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. l/~-I,.~/$,C-
Insul. CL
WL
Tp. Servo SLB
Rough In 4~ J'l.;o q 5" P'oJl.. Tub Set 1; -w .-tf') C-M-
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
~~, ~ 4';2D-q~~
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLICATION FOR PERHIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER · S NAME "P e t\J (\) i
OWNER' S ADDRESS 64d-. q
JOB ADDRESS "SA.rY\ €.
t-\ A. "-.)~ PHONE '( Bo' ~B8 ~
\D+~ ~~"t - 2~\r)l{le.ni Us
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction --Addition ----^lteration V'Repair _Install
_Sign
PROPOSED USE: ~ingle Faaily
---'love
_Deaolish
---'l/F _, of Units ---'l/H
_eo..ercial
_Indust. _Swia. Pool _Other
---...Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: i~tt(L(o~ C2Jlf~ ~ ~
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ I ~J(){){)
Valuation of Total Construction
_ELECTRICAL
X MECHANICAL
)( PLUMBING
AMP Service
Florida Power Corp.
W.R.E.C.
$~400
Valuation of Mechanical Installation
GAS
ROOFING
y
SPECIALTY
TYPE OF CORSTRUCTION: _Block ~Fraae _Steel
Other
FDUSKED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BUIIJ)~ OOIIPAIIY t( '{""..,;:, to", s:\-Cl "'-~ l \ ".,J :L.:, ~.
, (" State Cert. or Regist.' C ~<: - 0 ~'5l ~4-
Signat - '--., ~ -= City License Registration' e.s--
****************************************
ELECTRICIAN
SiQOature ~::? n'/l-
COMPANY N\~~\~ t; \'ec.-\{(:..\Q
State Cert. or Regist. . b.(?- - 00 I '344 '9 _
City License Registration' ~\ \
******************************************
Signature
C c.-l0
COMPANY CD\ b~ :S~rNr~ '-?\~lt,^ ~jN~
~ State Ger<. or eBist. t "F- 00<01<,'1'-4
o . City License Registration' /s-5
* * *~*****************************
COMPANY ~" h a. \ <", G A. S. ~ A{ @.
State Cert. or Regist. . f\f1...B ~ 6Lt 3Q'-f5
City License Registration . ~7 ~
******************************************
PLUMBER
MECHANICAL
S4&natur~ f> ~
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration t
***~**************************************
APPLICATION APPROVED BY PERKlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit aay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
regulations. fbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be
cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirl!lents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a ~ontractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for wbich they will be responsible. If you, as the mmer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that aay be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of NFlorida's Construction Lien Law - HClemmer's Protection
GuideN p{epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber than the
'owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
"owner" prior to coaencl!lent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is herehy aade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlleDced prior to issuance of a pertit and that all work will be perforJed to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDIental agencies lay apply to the intended work, and that it is
'Y responsibility to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
* DepartJent of BnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDJeDtally Sensitive Lands,
Water/Wastewater freatJent
* Soutbwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatJent, Septic Tanks
* US BnviroDlental Protection Agency - Asbestos abateJeDt
I also certify that, if fill aaterial is to be used in Flood Zone "An or "A,etc.N, it is understood that a drainage plan
addressing a NCQlpensating voluteN will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perJit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frCl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball becOle invalid
unless the work authorized by such peIlit is COlleDCed within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOntha after the tite the work is cOIIenced. One 90 day extension of tile, laY be
allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each six IOnth period, or the project will be considered abandoned.
WARMING TO OVHER: YOUR FAILURE TO RECORD A NOTICE OF COMMEICEMEHT MAY RESULT IN YOUR PAYING 'tWICE FOR IMPROVEMEIITS TO YOUR
PROPERlY. IF YOU IftEHJ) TO OBfAII FIWCING, COISOLT WIfH YOUR LDDER OR AX AnomY BEFORE RECORDIHG YOUR HOTlCE OF
COMMEHCEMm. JOBS UNDER $2,500 IN VALUE 00 HOT NEBD TO RECORD AID POST A "NOTICE OF COMMEHCEMEHf".
SIGHATURE: COIlfRACfOR
SIGHAfURI: OWIER OR AGm
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATB OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Nam~ Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
...."""- ,,"". . ~~.
',,-~.f
PASCO COUNTY COMMUNIT"t' OEVEL.OPMENT
~ !)..l q '~004-- ~INSpeCTIONI.SUMMAAV SHEET
7~-6e82-
Na<me: Pency Owens Real ty Client *' Charles Shiver
l____.__.
Add,...: 5~29 lO~hSttee; :' 00""""'0" ~~man. Cqnsi;l'u5i.tioll'_~,
Zephyrhi1ls. Fl, ~ 325 S.R...J~ w(est_...:-~
h r~i is, F1 3~541
f1........ ----...._...._
OCl'O
155.00
60.00
90.00
228.00
...o.z. -
for a Purchase Reh~b on the
---
5429 10th Stre~~, Zeph~hill I ~l. and the following
4.
Rem v
Install
porch.
lectr1cal wir1n on outside wall at kitchen door.
hurr1 cane anchors on back porch' bean to ce111 ng jo1 st. Thi s
r n to the bottom of he beam.
the kitchen b~throom~ back ~Cl'een
----.--.... ""-.--..
37
155.00
228.00
155.00
house.
8. Install 'ceiling fan switch on back porch by kitchen. door. Remove
h
: switch b
d where missin
be upstairs,
----
217.00
155.00
nt
$450.00.
new ventwa-hood and vent to the roof. __
ceilin 11 ht by front windows;n the
a rea.
~l...('h'~""i'l' <;\.Idt,..h",<: ...t .t"p of l:t.,,-lY'WiI~' ;.nd l:lt bottom of
t.() t.hp II ~t.Ail" ~t(\;r.. on "oth walh.
,/
z
;~:~~;~On:~
joist in the upstairs and
964.00
mlll'h
~~'pn~~1blc in thQt Ql"ca.
xter;or upstair walls windwos nnd
277.00
Inspsum.
18. Install door at upstairs bathroom with privacy lock.
Continued on Page 2
7. 1%'
IU7.A 7.0/. "I O...OA7."17"O" 1 01
0"'7.1 I 17A-C7._0 I n7.n~ Jetdo~elel ~OJe~'AO IM~~
~;>'Jl"'U.'M"f;""'~"-'7C"'-< AGE 2 of 2 P:;CO COUNT"'" COMMUN'T"'" OeVELOPMENT
INSPEOTION/SUMMARY SHEET
Pency Owens Rea1ty
5429 10th street
Zephyrh1l1 S I Fl.
.
Ollent r#
Contraotori
Charles Shiver
Ryman Construction;-iiiC-:
37325 S.R. 54 West \~
Zephyrh11ls, Fl. ~3~41u
__----<1 ra...... J
Date
340.00! 1 q .
228.00 i 20.
, 1.
, Deeorl tlon
Install Q}vwood to close u~ o12en floor joists at the stairwell.
Door between livin.;l room to front bedroom needs to be cut off
carpet_ and .r.eDa.j Lih.e~.J..n...caroet at same
461.00
code with pan draining
277.00
309.00
-_._-
217.00
.~.- ~..
Total for all above work
includes all mater als and laoor.
.-
~ . "-
TOTAL BID $7,375.00
I.
I.
. I,
i:
\...1\
\11
inspsum.
~ i!! iH'1Cl 10 I C' I 0,-OCl1C'~C'0C' I III
Ir-.,I I "~._"''''' I ".,"'/ l~,.AI"'l"""'l'~' V""",'I,'~ r~'~~
Deparbnent of
Building
Regulation
February 20, 1995
TO: HOME OWNERS, CONTRACTORS, ENGINEERS, ARCHITECTS
FROM: ROY BURNSIDE~YRHILLS BUlLUING DEPT.
SUBJECT: GARAGE DOOR CERTIFICATION
All plans submitted on or after April 1. 1995 must include garage door
certification from manufacture with a minimum of 25 P.S.F.
Jambs and other support1ng structural elements will also be 'included, in
detail, in plans certification.
-SAMPLE-
.,~ I..
=pt..ttrG ; ~
, .' I ;:
: ~....~~~ .
I
I
i.'
; . Wlndload Compliance
. I . . t . '.
j
! . ThII AoIJ.IIle 0wIItIIed Door, .,..
: ! InItIIIIdIOJIfllIIIrIpllllflaaUone,'"
: : bIin.......lO.. 811nd1n111u11d1ng
i I Cadl8Ictlon 1tlIIC1"1!IlItlcq...
.lIIIng A8TM T.... 8tIndInI E330
i :...... the following:
; · j7z'Oj .. 1:'3'91 ~ -j
; ~ .P.s~F.I_ 3~': ~--.lfFF-r! tr I
;. i7Soo~341 fl!!i~~ I
1~~=:.:....,,~1< nnAIL II'
. , , 'FOR r HIGH ~
..------..-- 7ft' CfWICD 10 Iff'
.....-...-....-.-
. , .
. I : !l!!..!!I'''~,
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r
!
.- .. ,.....
INT~RIOA n NATIOtI
J.W8 LOAn'R[OUIRnlENT-li
~=,~
. --..---..
I
..... RR
.~
.~DOORS
1.1OO.15I.'~'
407.157._
~(o)[o)lElL. ~'U (Q)
..",a..
'I' x 7' NfO 'I' . I'
t. .
DOQ.R SECTIO':ll
rn II-I...... ... IIaft..
. ~.... 1II..11L...;
-- --_11I----:
--- -- ...... r.t'1~
- -- .-....-
ClBuilding Safety Is No Accident"
Department of
Building
Regulation
February 20, 1995
TO: HOME OWNERS, CONTRACTORS, ENGINEERS, ARCHITECTS
FROM: ROY BURNSIDE~YRHILLS BUILDING DEPT.
SUBJECT: GARAGE DOOR CERTIFICATION
All p~anssubmitted on or after April 1, 1995 must include garage door
certification from manufacture with a minimum of 25 P.S.F.
Jambs and other supporting structural elements will also be included, in
detail, in plans certification.
.,,:" I,
-SAMPLE-
. I '
. , : m.!..!!!!"A=:I.
.'I~,: .:
,
I
I
-...,.....
'.
INT~IIIOR ~l ntATIOt.I .!AU. UlAn 'R[OUlAD.t~~ .
~I:I~"
: --..----
..... lit:
.1~RS
I.....''''
407.157._
~<O>[o)lElL. ~~@
....,.....
1.' X 7' AND 1r . S'
liB"
.'
'~
DOOR !;~CTIOl:i
rn II-I..... ... IItIm..
. ~ - n..lllL-.;
......... ..... __ 1ft ~
--- ---- -.... I:I:'SI
- -- .-....- =
"Building Safety Is No Accident"
Department of
Building
Regulation
February 20, 1995
TO: HOME OWNERS, CONTRACTORS, ENGINEERS, ARCHITECTS
FROM: ROY BURNSIDE~YRHILLS BUILDING DEPT.
SUBJECT: GARAGE DOOR CERTIFICATION
All plans submitted on or after April 1, 1995 must include garage door
certification from manufacture with a minimum of 25 P.S.F.
Jambs and other supporting structural elements will also be included, in
detail, in plans certification.
: : ==::r.a..:==.
.. I ...~. ~ . :
I
!
-SAMPLE-
I'
I
!!
",:, J.....
.- ... ........
JAUB l1Wl 'REouIRn.trnrlj
~=I~
. ..",",.~...,.
: I !
'~Ik
.~DOORS
1.100 .151. 1..1
407 .157 . D&IO
~<O)(o)lElb 1)1)@
. _J111I..
'I' X 7' AND 'I' . I'
I. .
IIU1R lIIl11r __
""- 1Illl.-....
~ ,~'"
.~
DOOR SI!:CT10lll
"Building Safety Is No Accident"